Dr Ryan Conway Wassenaar, DO is a medicare enrolled "Hospitalist" physician in Oak Ridge, Tennessee. His current practice location is
990 Oak Ridge Tpke, Oak Ridge, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 835-4304.
Dr Ryan Conway Wassenaar is licensed to practice in Tennessee (license number 2067) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457516288.
Physician's Profile
| Full Name | Dr Ryan Conway Wassenaar |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 990 Oak Ridge Tpke, Oak Ridge, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1457516288
- Provider Enumeration Date: 07/21/2008
- Last Update Date: 08/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749334357
- Enrollment ID: I20090817000576
Medical Identifiers
Medical identifiers for Dr Ryan Conway Wassenaar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457516288 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 007164 (Arizona) | Secondary |
| 208M00000X | Hospitalist | 2067 (Tennessee) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ryan Conway Wassenaar allows following entities to bill medicare on his behalf.
| Entity Name | Hospital Medicine Services Of Tennessee Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528433802
PECOS PAC ID: 9234432881
Enrollment ID: O20160114002673 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ryan Conway Wassenaar is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Ryan Conway Wassenaar, DO
119 Heritage Dr,
Oak Ridge, TN 37830-7965
Ph: (865) 804-1902 | Dr Ryan Conway Wassenaar, DO
990 Oak Ridge Tpke,
Oak Ridge, TN 37830-6976
Ph: (865) 835-4304 |
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